| Behavioral Change Through Counseling, Llc | |
|
21 Lenard Way Parsippany NJ 07054-4365 | |
| (973) 714-2210 | |
| Not Available |
| Full Name | Behavioral Change Through Counseling, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 21 Lenard Way, Parsippany, New Jersey |
| Authorized Official Name and Position | Rosanne Connolly (SOLE MEMBER) |
| Authorized Official Contact | 9737142210 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavioral Change Through Counseling, Llc 21 Lenard Way Parsippany NJ 07054-4365 Ph: (973) 714-2210 | Behavioral Change Through Counseling, Llc 21 Lenard Way Parsippany NJ 07054-4365 Ph: (973) 714-2210 |
| NPI Number | 1780929901 |
|---|---|
| Provider Enumeration Date | 11/28/2012 |
| Last Update Date | 11/28/2012 |
| Medicare PECOS PAC ID | 1254584949 |
|---|---|
| Medicare Enrollment ID | O20130108000008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780929901 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 37LC00184700 (New Jersey) | Secondary |
| 1041C0700X | Social Worker - Clinical | 44SC05479900 (New Jersey) | Primary |
| Provider Name | Rosanne Connolly |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083840649 PECOS PAC ID: 2163675851 Enrollment ID: I20130108000016 |
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